| NPI | 1477957207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005899-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2014001031) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2018-12-06 |